Doctor Name: | MS. DESPINA (PENNY) ANGELA KYRAMARIOS |
NPI Number: | 1831249259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 0336340 |
Business Practice Address: | 4810 Meadows Pkwy Weldon Spring, MO - 633042227 |
Business Phone Number: | 6368516016 |
Business Fax Number: | 6368516198 |
Mailing Address: | 1003 Claytonbrook Dr, BALLWIN |
State: | MO |
Postal Code: | 630111586 |
Phone Number: | 6362562467 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0336340 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |